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| Study Type: | Observational |
|---|---|
| Study Design: | Observational Model: Cohort |
| Condition: |
Familial Adenomatous Polyposis (FAP) |
| Interventions: |
Drug: Celecoxib Other: Routine Medical Care |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| Study prematurely discontinued in May 2008 prior to reaching planned enrollment target; Last subject last visit November 2008. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| Familial Adenomatous Polyposis (FAP) identified subjects=celecoxib-treated and matched control subjects eligible for inclusion in study identified from 4 registry sites; FAP analyzed=celecoxib-treated and matched control subjects eligible for matching and analysis in study. 1 subject excluded from analysis; took celecoxib without a prescription. |
| Description | |
|---|---|
| Matched Control | Observation of subjects not treated with celecoxib and followed according to routine medical practice; matched to matched celecoxib treated subjects. Routine medical practice: all patients regardless of treatment status are followed according to local standard of medical care by the respective physicians. |
| All Celecoxib Treated | All celecoxib treated subjects (includes Matched Celecoxib Treated and Not Matched Celecoxib Treated subjects); treatment prescribed outside clinical trial setting per routine medical care. Routine medical care: celecoxib is prescribed in the usual manner in accordance with the terms of the marketing authorization and as prescribed in medical practice. The assignment of the patient to celecoxib is not decided in advance by the study protocol but falls within current practice. All patients regardless of treatment status are followed according to local standard of medical care by the respective physicians. |
| Matched Control | All Celecoxib Treated | |
|---|---|---|
| STARTED | 13 | 55 |
| COMPLETED | 13 | 54 |
| NOT COMPLETED | 0 | 1 |
| Protocol Violation | 0 | 1 |
| Matched Control | All Celecoxib Treated | |
|---|---|---|
| STARTED | 13 | 54 |
| COMPLETED | 13 | 51 |
| NOT COMPLETED | 0 | 3 |
| Lost to Follow-up | 0 | 2 |
| Other study participation | 0 | 1 |
Baseline Characteristics
| Description | |
|---|---|
| Matched Celecoxib Treated | Celecoxib treatment prescribed outside clinical trial setting per routine medical care; matched to control subjects. Routine medical care: celecoxib is prescribed in the usual manner in accordance with the terms of the marketing authorization and as prescribed in medical practice. The assignment of the patient to celecoxib is not decided in advance by the study protocol but falls within current practice. All patients regardless of treatment status are followed according to local standard of medical care by the respective physicians. |
| Matched Control | Observation of subjects not treated with celecoxib and followed according to routine medical practice; matched to matched celecoxib treated subjects. Routine medical practice: all patients regardless of treatment status are followed according to local standard of medical care by the respective physicians. |
| Not Matched Celecoxib Treated | Celecoxib treatment prescribed outside clinical trial setting per routine medical care; not matched to control subjects. Routine medical care: celecoxib is prescribed in the usual manner in accordance with the terms of the marketing authorization and as prescribed in medical practice. The assignment of the patient to celecoxib is not decided in advance by the study protocol but falls within current practice. All patients regardless of treatment status are followed according to local standard of medical care by the respective physicians. |
| Matched Celecoxib Treated | Matched Control | Not Matched Celecoxib Treated | Total | |
|---|---|---|---|---|
|
Number of Participants
[units: participants] |
13 | 13 | 41 | 67 |
|
Age, Customized
[1] [units: participants] |
||||
| <25 years | 4 | 5 | 18 | 27 |
| 25 to 34 years | 5 | 4 | 5 | 14 |
| 35 to 44 years | 3 | 2 | 8 | 13 |
| 45 to 54 years | 1 | 1 | 3 | 5 |
| 55 to 64 years | 0 | 0 | 1 | 1 |
| >64 years | 0 | 0 | 0 | 0 |
| Age not available (no surgery) | 0 | 1 | 6 | 7 |
|
Gender
[units: participants] |
||||
| Female | 2 | 6 | 21 | 29 |
| Male | 11 | 7 | 20 | 38 |
| [1] | Age range groups at most recent FAP-related surgery (years). Prior to start of study follow-up = prior to baseline. Start of study follow-up: start of on-study celecoxib treatment period for celecoxib-treated subjects and index date for control subjects = baseline. |
|---|
Outcome Measures
| 1. Primary: | Time From Ileorectal Anastomosis (IRA) to Time of First Excisional Polypectomy of a Rectal Polyp Post IRA [ Time Frame: Up to 8 years prior to baseline ] |
| 2. Primary: | Time From Start of Study Follow-up to the Time of First Excisional Polypectomy of a Rectal Polyp Post IRA [ Time Frame: Baseline, Up to 60 months post-baseline ] |
| 3. Primary: | Time From Ileopouch Anal Anastomosis (IPAA) to Time of First Excisional Polypectomy of a Rectal Polyp Post IPAA [ Time Frame: Up to 15 years prior to baseline ] |
| 4. Primary: | Time From Start of Study Follow-up to Time of First Excisional Polypectomy of a Rectal Polyp Post IPAA [ Time Frame: Baseline, Up to 60 months post-baseline ] |
| 5. Secondary: | Time From Most Recent Prior FAP-related Surgical Event or Onset of FAP Phenotype to Time of First Excisional or Ablational Event for Rectal, Colonic, Pouch, or Duodenal Adenomas (Duodenal Adenomatous Polyps) [ Time Frame: Up to 15 years prior to baseline ] |
| 6. Secondary: | Time From Start of Study Follow-up to Time of First Excisional or Ablational Event for Rectal, Colonic, Pouch, or Duodenal Adenomas [ Time Frame: Baseline, Up to 60 months post-baseline ] |
| 7. Secondary: | Time From Most Recent Prior FAP-related Surgical Event or Onset of FAP Phenotype to Time of First FAP-related Adverse Event [ Time Frame: Up to 15 years prior to baseline ] |
| 8. Secondary: | Time From Start of Study Follow-up to Time of First FAP-related Adverse Event [ Time Frame: Baseline, Up to 60 months post-baseline ] |
| 9. Secondary: | Time From Post IRA to Time of Conversion From IRA to IPAA [ Time Frame: Up to 15 years prior to baseline ] |
| 10. Secondary: | Time From Start of Study Follow-up to Time of Conversion From IRA to IPAA [ Time Frame: Baseline, Up to 60 months post-baseline ] |
| 11. Secondary: | Duodenal Adenoma Burden as Measured by Spigelman Stage [ Time Frame: Baseline, 6 to 14 months post-baseline, End of study (EOS) ] |
| 12. Secondary: | Rectal or Pouch Adenoma Burden Based on Polyp Counts [ Time Frame: Baseline, 6 to 14 months post-baseline, EOS ] |
| 13. Post-Hoc: | Duodenal Adenoma Burden as Measured by Polyp Counts [ Time Frame: Baseline, 6 to 14 months post-baseline, End of study (EOS) ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| Study prematurely discontinued May 2008 prior to reaching enrollment target; due to limited number of matched pairs, results do not provide sufficient data to evaluate effectiveness of celecoxib. Last subject last visit was November 2008. |
| Responsible Party: | Director, Clinical Trial Disclosure Group, Pfizer Inc |
| ClinicalTrials.gov Identifier: | NCT00151476 History of Changes |
| Other Study ID Numbers: | NQ4-00-02-012, A3191167 |
| Study First Received: | September 7, 2005 |
| Results First Received: | November 19, 2009 |
| Last Updated: | March 4, 2010 |
| Health Authority: | United States: Food and Drug Administration |